Applied Behavior Analysis for Autism Spectrum Disorders

Size: px
Start display at page:

Download "Applied Behavior Analysis for Autism Spectrum Disorders"

Transcription

1 Applied Behavior Analysis for Autism Spectrum Disorders I. Policy University Health Alliance (UHA) will reimburse for Applied Behavioral Analysis (ABA), as required in relevant State of Hawaii mandates, as treatment for Autism Spectrum Disorder (ASD) when such services meet the medical criteria guidelines (subject to limitations and exclusions) indicated below. The scope of this policy is confined to Applied Behavior Analysis for ASD. II. Background The diagnosis of ASD can be complex and difficult due to the diversity of the presentation of symptoms and their severity. Parents or guardians of children suspected of having an ASD should seek early diagnosis and care for their child to increase the benefits of treatment. A well-child checkup should include a developmental screening test with specific ASD screening at 18 and 24 months, as recommended by the American Academy of Pediatrics. Autism spectrum disorder, as defined in the fifth edition of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-5), includes disorders previously referred to as: Atypical autism Asperger's disorder Childhood autism Childhood disintegrative disorder Early infantile autism High-functioning autism Kanner's autism Pervasive developmental disorder not otherwise specified According to the National Institute of Child Health and Human Development, currently there is no definitive, single treatment for the management of ASD. Individuals with ASD have a wide spectrum of behaviors and abilities such that no single approach is equally effective for all, and not all individuals benefit from treatment to the same degree. In addition, individuals with ASD may require new and/or multiple episodes of care as well as modifications to the frequency and duration of existing services. III. Criteria/Guidelines A. University Health Alliance (UHA) will reimburse Applied Behavior Analysis (ABA) for Autism Spectrum Disorder (ASD) when determined to be medically necessary and within the medical criteria guidelines (subject to limitations and exclusions) indicated. Applied Behavioral Analysis services are covered for members with the diagnosis of Autism Spectrum Disorder who are age 13 and under. B. For an initial UHA review for approval of ABA for ASD, all of the following requirements must be met: 1. A diagnosis of ASD is made by a licensed medical professional (diagnosing provider) with specialized expertise in ASD. Such providers include developmental behavioral pediatricians, Developmental pediatricians, Neurologists, Pediatricians, Psychiatrists, licensed psychologist, LCSW, or APRN; 2. The individual meets the diagnostic criteria for autism as specified in the most current diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders available at the time of diagnosis; 3. The initial assessment and treatment plan for ABA is developed by any of the following practitioners (rendering providers): 1

2 a. Board Certified Behavioral Doctorate (BCBA-D), b. Board Certified Behavioral Analyst (BCBA), 4. The assessment and treatment plan must be submitted by the rendering provider to UHA for Prior Authorization before ABA begins. C. The ABA treatment plan must contain the following components: 1. Information from multiple informants and data sources, with direct observation in different settings and situations; 2. Identified behavioral, psychological, family, and medical concerns that are specifically addressed; 3. Goals that are specified in objective and measurable terms based on formalized assessments. a. The assessments shall address skills acquisition, behaviors, and impairments for which the intervention is to be applied. b. Each goal must include baseline measurements, progress to date and anticipated timeline for achievement based on both the initial assessment and subsequent interim assessments over the duration of the intervention. c. Goals of intervention must be appropriate for the individual's age and impairments with corresponding measures of progress. d. Goals must be related to social skills, communication skills, language skills, behavior change and/or adaptive functioning that specifically relate to the beneficiary 4. Interventions that are considered effective for ASD based on consensus and evidence-based practice guidelines from relevant professional societies which are consistent with peer reviewed literature. 5. Documentation must show that ABA services will be provided by a rendering provider credentialed by the Behavior Analyst Certification Board. a. Since BCBA certification does not guarantee that the professional has any training or experience specific to autism, providers of ABA within the scope of this policy may be required provide UHA with documentation of professional experience and training in ABA for individuals with autism. D. After submission of the treatment plan to UHA and authorization for ABA has been obtained, the initial course of Applied Behavior Analysis must meet the following requirements: 1. An initial course of ABA is considered to be no less than 6 months of therapy. The number of hours authorized for the initial course of ABA will be determined by UHA after prior authorization review of the ABA treatment plan. 2. ABA must be provided by a qualified rendering provider as designated in the treatment plan, which includes the following: a. Registered Behavior Technician (RBT) (performing under the supervision of a BCBA, or BCBA-D); b. Board Certified Assistant Behavior Analyst (BCaBA) (performing under the supervision of a BCBA or BCBA-D); c. BCBA-D; d. BCBA. E. Continuation of ABA treatment requires additional Prior Authorization for coverage of services. Continuation of ABA may be covered when ALL of the following criteria are met: 2

3 1. The individual has met criteria for an initial course of ABA above; 2. The patient shows continuing response to therapy; 3. The individual-specific treatment plan has been updated and submitted to UHA. Treatment plans may be required to be updated more often than scheduled if warranted by individual circumstances; 4. For each goal in the individual-specific treatment plan, the following is documented: a. Re-evaluation, done no later than two months after the initial course of ABA treatment began, in order to establish a baseline in the areas of social skills, communication skills, language skills, and adaptive functioning; b. Progress to date; c. Anticipated timeline for achievement of the goal based on both the initial assessment and subsequent interim assessments over the duration of the intervention; 5. Interim progress towards treatment plan goals must be apparent utilizing a generally accepted measurement of progress. a. Examples of measurement systems may include VBMAPPS (Verbal Behavior Milestones Assessment and Placement Program) or ABLLS-R (Assessment of Basic Language and Learning Skills-Revised). NOTE: This UHA payment policy is a guide to coverage, the need for prior authorization and other administrative directives. It is not meant to provide instruction in the practice of medicine and it should not deter a provider from expressing his/her judgment. Even though this payment policy may indicate that a particular service or supply is considered covered, specific provider contract terms and/or members individual benefit plans may apply, and this policy is not a guarantee of payment. UHA reserves the right to apply this payment policy to all UHA companies and subsidiaries. UHA understands that opinions about and approaches to clinical problems may vary. Questions concerning medical necessity (see Hawaii Revised Statutes 432E-1.4) are welcome. A provider may request that UHA reconsider the application of the medical necessity criteria in light of any supporting documentation. IV. Administrative Guidelines 1. No Prior Authorization is required for diagnostic evaluation for ASD. If psychological testing is performed for initial diagnosis of ASD, refer to the UHA medical payment policy for psychological testing. 2. No Prior Authorization is required for the development of the ABA treatment plan. 3. Prior Authorization is required for the initial course of ABA. 4. UHA will review the submitted treatment plan and determine how many hours of ABA to prior authorize. Initial course of ABA shall be no less than six months of service. 5. Prior Authorization is required for continuation of ABA after initial course is completed and periodically thereafter. A treatment plan for continuing treatment must be submitted to UHA at least two weeks prior to the end of the current approved treatment; UHA shall make a determination within this period to minimize disruption in services. 3

4 6. ABA treatment will not be covered when the criteria above are not met or when there is no documentation of clinically significant developmental progress in any one of the following areas: a. social skills, communication skills, language skills, or adaptive functioning as measured by either interim progress assessment or developmental status as measured by standardized tests. 7. ABA treatment will not be covered when any of the following apply: a. Care is custodial in nature; b. Services and supplies are not clinically appropriate; c. Services are provided by family or household members; d. Treatments are considered experimental; e. Services are provided outside of the State of Hawaii 8. Qualified BCBA or BCBA-D practitioners may supervise up to 10 full-time BCaBA and RBTs. Supervisor must review and sign off on assessments and treatment plans. The supervision of BCaBA and RBTs includes: a. All aspects of clinical direction, supervision, and case management b. Knowledge of each beneficiary and the treatment team s ability to effectively carry out clinical activities before assigning them. c. Familiarity with the beneficiary s assessment, needs, treatment plan, and regular observation of the rendering provider implementing the plan (at least two hours for every 10 hours of service provided with at least one of the two hours being direct clinical supervision). 9. Coverage for Applied Behavioral Analysis for Autism Spectrum Disorder is limited to a maximum benefit of $25,000 per year. CPT Codes 0359T Description Behavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and caregiver(s), includes administration of standardized and non-standardized tests, detailed behavioral history, patient observation and caregiver interview, interpretation of test results, discussion of findings and recommendations with the primary guardian(s)/caregiver(s), and preparation of report 0360T 0361T 0362T 0363T 0364T Observational behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by one technician; first 30 minutes of technician time, face-to-face with the patient Observational behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by one technician; each additional 30 minutes of technician time, face-to-face with the patient Exposure behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by physician or other qualified health care professional with the assistance of one or more technicians; first 30 minutes of technician(s) time, face-to-face with the patient Exposure behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by physician or other qualified health care professional with the assistance of one or more technicians; each additional 30 minutes of technician(s) time, face-to-face with the patient Adaptive behavior treatment by protocol, administered by technician, face-to-face with one 4

5 0365T 0366T 0367T 0368T 0369T 0370T 0371T 0372T 0373T 0374T patient; first 30 minutes of technician time Adaptive behavior treatment by protocol, administered by technician, face-to-face with one patient; each additional 30 minutes of technician time Group adaptive behavior treatment by protocol, administered by technician, face-to-face with two or more patients; first 30 minutes of technician time Group adaptive behavior treatment by protocol, administered by technician, face-to-face with two or more patients; each additional 30 minutes of technician time Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face-to-face time Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of patient faceto-face time Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present) Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present) Adaptive behavior treatment social skills group, administered by physician or other qualified health care professional face-to-face with multiple patients Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); first 60 minutes of technicians' time, face-toface with patient Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians' time, face-to-face with patient HCPCS Codes H0031 H0032 H0046 H2012 H2014 H2019 Description For the following codes, when specified as ABA therapy: Mental health assessment by non-physician [when specified as functional assessment and treatment plan developed for Applied Behavior Analysis (ABA) services by a Qualified Autism Service Provider (licensed clinician or Board Certified Behavioral Analyst (BCBA)) Mental health service plan development by non-physician [when specified as supervision of a Qualified Autism Service Professional or Paraprofessional by a Qualified Autism Service Provider] Mental health services, not otherwise specified [when specified as direct ABA services by a Qualified Autism Service Professional] Behavioral health day treatment, per hour [when specified as direct ABA services by a Qualified Autism Service Provider] Skills training and development, per 15 minutes [when specified as skill development, social skills group activity] Therapeutic behavioral services, per 15 minutes [when specified as direct ABA services by a Qualified Autism Service Paraprofessional] 5

6 ICD-10 Diagnosis Description F84.0 Autistic disorder F84.3 Other childhood disintegrative disorder F84.5 Asperger's syndrome F84.8 Other pervasive developmental disorders F84.9 Pervasive developmental disorder, unspecified V. Policy History Policy Number: M.RTH Current Effective Date: 10/01/2015 Original Document Effective Date: 10/01/2015 Previous Revision Dates: N/A PAP Approved: 05/19/2015 References: UHA policy for evaluation and assessment of Autism Spectrum Disorders is based on criteria published by the American Academy of Neurology (Filipek, 2000), the Child Neurology Society and the American Academy of Pediatrics (Johnson, 2007) the American Academy of Child and Adolescent Psychiatry (Volkmar,1999), and the mandates of State of Hawaii under SB 791: Relating to Autism Spectrum Disorders. HCR_MPP

Applied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder

Applied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder Applied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder Policy Number: Original Effective Date: MM.12.022 01/01/2016 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration

More information

Medical Policy Original Effective Date: 07-22-09 Revised Date: 01-27-16 Page 1 of 5

Medical Policy Original Effective Date: 07-22-09 Revised Date: 01-27-16 Page 1 of 5 Disclaimer Medical Policy Page 1 of 5 Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all plans or the plan may have broader or

More information

JOHNS HOPKINS HEALTHCARE

JOHNS HOPKINS HEALTHCARE Page 1 of 9 ACTION: New : Effective Date: 03/01/2013 Revising : Review Dates: 12/4/2015 Superseding : Archiving : Retiring : Johns Hopkins HealthCare (JHHC) provides a full spectrum of health care products

More information

JOHNS HOPKINS HEALTHCARE

JOHNS HOPKINS HEALTHCARE Page 1 of 9 ACTION: New : Effective Date: 03/01/2013 Revising : Review Dates: 12/4/2015 Superseding : Archiving : Retiring : Johns Hopkins HealthCare (JHHC) provides a full spectrum of health care products

More information

sad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015

sad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015 Medical Coverage Policy Autism Spectrum Disorders Mandate sad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015 OVERVIEW Applied behavioral analysis (ABA) is the process of systematically applying

More information

MEMORANDUM. MEMO NOS. Ql-1515 FFS-1510 [Replaces QI-1 504_ FFS Ml 5-03 dated 01/13/15] TO:

MEMORANDUM. MEMO NOS. Ql-1515 FFS-1510 [Replaces QI-1 504_ FFS Ml 5-03 dated 01/13/15] TO: DAVID Y. IGE GOVERNOR RACHAEL WONG, DrPH DIRECTOR PANKAJ BHANOT DEPUTY DIRECTOR STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES Med-QUEST Division Health Care Services Branch P. 0. Box 700190 Kapolei, Hawaii

More information

MEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR THE TREATMENT OF AUTISM SPECTRUM DISORDERS

MEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR THE TREATMENT OF AUTISM SPECTRUM DISORDERS MEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR PAGE: 1 OF: 7 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product covers

More information

HB 159 mandates that private insurance provides the following for individuals diagnosed with Autism spectrum Disorders:

HB 159 mandates that private insurance provides the following for individuals diagnosed with Autism spectrum Disorders: HB 159 mandates that private insurance provides the following for individuals diagnosed with Autism spectrum Disorders: "Applied behavior analysis" means the design, implementation, and evaluation of environmental

More information

AUTISM SPECTRUM DISORDER RELATED SERVICES FOR EPSDT ELIGIBLE INDIVIDUALS

AUTISM SPECTRUM DISORDER RELATED SERVICES FOR EPSDT ELIGIBLE INDIVIDUALS AUTISM SPECTRUM DISORDER RELATED SERVICES FOR EPSDT ELIGIBLE INDIVIDUALS I. GENERAL POLICY Autism Spectrum Disorder (ASD) Related Services are not covered benefits for Traditional Medicaid beneficiaries.

More information

An initial course of ABA therapy is subject to PA and is covered when all the following criteria are met:

An initial course of ABA therapy is subject to PA and is covered when all the following criteria are met: IHCP bulletin Note: This bulletin is obsolete. Please see BT201606 for the corrected version of this bulletin. INDIANA HEALTH COVERAGE PROGRAMS BT201605 JANUARY 15, 2016 IHCP adds coverage of applied behavioral

More information

Psychological and Neuropsychological Testing

Psychological and Neuropsychological Testing Psychological and Neuropsychological Testing I. Policy University Health Alliance (UHA) will reimburse for Psychological and Neuropsychological Testing (PT/NPT) when it is determined to be medically necessary

More information

Autistic Disorder Asperger s Disorder Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS)

Autistic Disorder Asperger s Disorder Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS) Medical Policy Manual Topic: Applied Behavior Analysis for the Treatment of Autism Spectrum Disorder Date of Origin: January 2012 Section: Behavioral Health Last Reviewed Date: January 2015 Policy No:

More information

WVPEIA/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy

WVPEIA/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy WVPEIA/WVCHIP Applied Behavior Analysis (ABA) The practice of Applied Behavior Analysis is defined as the application of the principals, methods, and procedures of the experimental analysis of behavior

More information

WVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA)

WVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA) WVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy The practice of Applied Behavior Analysis is defined as the application of the principals, methods, and procedures of the

More information

INDIANA: Frequently Asked Questions About the Autism Insurance Reform Law. What does Indiana s Autism Spectrum Disorder Insurance Mandate do?

INDIANA: Frequently Asked Questions About the Autism Insurance Reform Law. What does Indiana s Autism Spectrum Disorder Insurance Mandate do? INDIANA: Frequently Asked Questions About the Autism Insurance Reform Law What does Indiana s Autism Spectrum Disorder Insurance Mandate do? Broadly speaking, the insurance mandate requires insurance providers

More information

AUTISM SPECTRUM DISORDER TREATMENTS

AUTISM SPECTRUM DISORDER TREATMENTS AUTISM SPECTRUM DISORDER TREATMENTS Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Medical Coverage

More information

Applied Behavior Analysis (ABA)

Applied Behavior Analysis (ABA) MEDICAL POLICY POLICY RELATED POLICIES POLICY GUIDELINES DESCRIPTION SCOPE BENEFIT APPLICATION RATIONALE REFERENCES CODING APPENDIX HISTORY Applied Behavior Analysis (ABA) Number 3.01.510 Effective Date

More information

Disorders Mandate. Medical Coverage Policy Autism Spectrum EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014

Disorders Mandate. Medical Coverage Policy Autism Spectrum EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014 Medical Coverage Policy Autism Spectrum Disorders Mandate EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014 OVERVIEW Applied behavioral analysis (ABA) is the process of systematically applying

More information

Chapter 7 Section 3.19. Applied Behavior Analysis (ABA) For Non- Active Duty Family Members (NADFMs) Who Participate In The ABA Pilot

Chapter 7 Section 3.19. Applied Behavior Analysis (ABA) For Non- Active Duty Family Members (NADFMs) Who Participate In The ABA Pilot Medicine Chapter 7 Section 3.19 Applied Behavior Analysis (ABA) For Non- Active Duty Family Members Issue Date: August 10, 2012 Authority: 10 USC 1079(a), Section 705 NDAA FY 2013 Public Law No: 112-239,

More information

Florida Senate - 2016 SB 144

Florida Senate - 2016 SB 144 By Senator Ring 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 A bill to be entitled An act relating to autism; creating s. 381.988, F.S.; requiring a physician, to whom

More information

MEDICAID SERVICES MANUAL TRANSMITTAL LETTER CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY

MEDICAID SERVICES MANUAL TRANSMITTAL LETTER CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY MEDICAID SERVICES MANUAL TRANSMITTAL LETTER October 19, 2015 TO: FROM: SUBJECT: CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY MEDICAID SERVICES MANUAL CHANGES CHAPTER

More information

ValueOptions Autism Care Management Product. Bryan Davey, PhD, BCBA-D Christopher Dennis, MD, MBA, ValueOptions Chief Medical Officer

ValueOptions Autism Care Management Product. Bryan Davey, PhD, BCBA-D Christopher Dennis, MD, MBA, ValueOptions Chief Medical Officer ValueOptions Autism Care Management Product Bryan Davey, PhD, BCBA-D Christopher Dennis, MD, MBA, ValueOptions Chief Medical Officer Autism Spectrum Disorders Background 2 Autism Spectrum Disorders within

More information

Clinical Policy Title: Applied behavior analysis (ABA)

Clinical Policy Title: Applied behavior analysis (ABA) Clinical Policy Title: Applied behavior analysis (ABA) Clinical Policy Number: 11.04.03 Effective Date: October 1, 2015 Initial Review Date: May 15, 2015 Most Recent Review Date: June 17, 2015 Next Review

More information

Chapter 7 Section 3.18

Chapter 7 Section 3.18 Medicine Chapter 7 Section 3.18 Issue Date: August 10, 2012 Authority: 10 USC 1079(a), Section 705 NDAA FY 2013 Public Law No: 112-239, 32 CFR 199.4(c), and 32 CFR 199.6 1.0 CPT 1 PROCEDURE CODES 1181F,

More information

MEDICAL POLICY No. 91579-R4

MEDICAL POLICY No. 91579-R4 *Note: This policy incorporates the previously separate policy Pervasive Developmental Disabilities #91543. Summary of Changes Due to the Patient Protection and Affordable Care Act (PPACA), applied behavioral

More information

Autism Insurance Act Frequently Asked Questions and Answers

Autism Insurance Act Frequently Asked Questions and Answers Autism Insurance Act Frequently Asked Questions and Answers Overview What does Autism Insurance Act (Act 62) do? Broadly speaking, Act 62 does three main things: 1. It requires many private insurers to

More information

The Department of Vermont Health Access Medical Policy

The Department of Vermont Health Access Medical Policy State of Vermont Department of Vermont Health Access 312 Hurricane Lane, Suite 201 [Phone] 802-879-5903 Williston, VT 05495-2807 [Fax] 802-879-5963 www.dvha.vermont.gov Agency of Human Services The Department

More information

TRICARE Comprehensive Autism Care Demonstration Q&A

TRICARE Comprehensive Autism Care Demonstration Q&A TRICARE Comprehensive Autism Care Demonstration Q&A Q1. When does the Autism Care Demo begin? A: The Department will begin implementing the new Autism Care Demonstration on July 25, 2014, with the goal

More information

Board Certified Behavior Analyst and Approved Autism Evaluation Centers. Blue Cross Blue Shield of Michigan Blue Care Network Provider Outreach

Board Certified Behavior Analyst and Approved Autism Evaluation Centers. Blue Cross Blue Shield of Michigan Blue Care Network Provider Outreach Board Certified Behavior Analyst and Approved Autism Evaluation Centers Blue Cross Blue Shield of Michigan Blue Care Network Provider Outreach September 2015 Enrollment Process 2 Enrollment Available networks:

More information

Michigan Medicaid Applied Behavior Analysis and Autism Services Provider FAQ

Michigan Medicaid Applied Behavior Analysis and Autism Services Provider FAQ To view the policy related to Michigan Medicaid Autism ABA services, please refer to MSA bulletin 15-59. This policy can be found at: http://www.michigan.gov/documents/autism/msa_bulletin_15-59_507763_7.pdf

More information

Applied Behavior Analysis (ABA) Provider Network Eligibility & Enrollment

Applied Behavior Analysis (ABA) Provider Network Eligibility & Enrollment An Independent Licensee of the Blue Cross Blue Shield Association. APPENDIX H AUTISM GUIDELINES Acknowledgement: Current Procedural Terminology (CPT ) is copyright 2015 American Medical Association. All

More information

BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY POLICIES AND PROCEDURES MANUAL

BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY POLICIES AND PROCEDURES MANUAL Page: 1 of 6 Policy It is the policy of Bay-Arenac Behavioral Health Authority (BABHA) to provide services to children with Autism Spectrum Disorder in compliance with the requirements set forth in the

More information

JOHNS HOPKINS HEALTHCARE

JOHNS HOPKINS HEALTHCARE Page 1 of 5 ACTION: New Policy Revising Policy Number Superseding Policy Number Archiving Policy Number Retiring Policy Number Johns Hopkins HealthCare provides a full spectrum of health care products

More information

Division of Health Care Financing and Policy Applied Behavior Analysis Summary October 27, 2015

Division of Health Care Financing and Policy Applied Behavior Analysis Summary October 27, 2015 Division of Health Care Financing and Policy Applied Behavior Analysis Summary October 27, 2015 Effective January 1, 2016 Nevada Medicaid will cover Applied Behavior Analysis (ABA) services for children

More information

Please stand by. There is no audio being streamed right now. We are doing a audio/sound check before we begin the presentation 2/9/2016 1

Please stand by. There is no audio being streamed right now. We are doing a audio/sound check before we begin the presentation 2/9/2016 1 Please stand by There is no audio being streamed right now. We are doing a audio/sound check before we begin the presentation 2/9/2016 1 Webinar Tips Today s webinar is a one-way audio broadcast through

More information

State of California Health and Human Services Agency Department of Health Care Services

State of California Health and Human Services Agency Department of Health Care Services State of California Health and Human Services Agency Department of Health Care Services TOBY DOUGLAS DIRECTOR EDMUND G. BROWN JR. GOVERNOR DATE: All Plan Letter 14-xxx TO: ALL MEDI-CAL MANAGED CARE HEALTH

More information

ILLINOIS: Frequently Asked Questions About the Autism Insurance Reform Law

ILLINOIS: Frequently Asked Questions About the Autism Insurance Reform Law ILLINOIS: Frequently Asked Questions About the Autism Insurance Reform Law What does Public Act 95 do? Broadly speaking, the Act does two main things: 1. It requires many private insurers to begin covering

More information

MISSOURI. 2. When did the law requiring insurance companies to cover services for children with autism spectrum disorder go into effect?

MISSOURI. 2. When did the law requiring insurance companies to cover services for children with autism spectrum disorder go into effect? MISSOURI FREQUENTLY ASKED QUESTIONS ABOUT THE AUTISM INSURANCE REFORM LAW 1. Generally speaking, what does the Missouri law do? The law requires all group health plans to cover the diagnosis and treatment

More information

Autism Care Demonstration Provider Frequently Asked Questions

Autism Care Demonstration Provider Frequently Asked Questions Autism Care Demonstration Provider Frequently Asked Questions Why are there differences between what is published on the tricare.mil website and what UnitedHealthcare Military & Veterans (UnitedHealthcare)

More information

Regence. Section: Mental Health Last Reviewed Date: January 2013. Policy No: 18 Effective Date: March 1, 2013

Regence. Section: Mental Health Last Reviewed Date: January 2013. Policy No: 18 Effective Date: March 1, 2013 Regence Medical Policy Manual Topic: Applied Behavior Analysis for the Treatment of Autism Spectrum Disorders Date of Origin: January 2012 Section: Mental Health Last Reviewed Date: January 2013 Policy

More information

ACTION: Notice of a comprehensive demonstration project for all Applied Behavior Analysis

ACTION: Notice of a comprehensive demonstration project for all Applied Behavior Analysis This document is scheduled to be published in the Federal Register on 06/16/2014 and available online at http://federalregister.gov/a/2014-14023, and on FDsys.gov Billing Code: 5001-06 DEPARTMENT OF DEFENSE

More information

Chapter 18 Section 18. Department Of Defense (DoD) Comprehensive Autism Care Demonstration

Chapter 18 Section 18. Department Of Defense (DoD) Comprehensive Autism Care Demonstration Demonstrations Chapter 18 Section 18 Department Of Defense (DoD) Comprehensive Autism Care Demonstration 1.0 PURPOSE The Comprehensive Autism Care Demonstration ( Autism Care Demonstration ) combines all

More information

FLORIDA: Frequently Asked Questions About the Autism Insurance Reform Law. What does the Florida Autism Legislation (Senate Bill Number 2654) do?

FLORIDA: Frequently Asked Questions About the Autism Insurance Reform Law. What does the Florida Autism Legislation (Senate Bill Number 2654) do? FLORIDA: Frequently Asked Questions About the Autism Insurance Reform Law What does the Florida Autism Legislation (Senate Bill Number 2654) do? There are three major components of the Florida Autism Legislation,

More information

APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE

APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE te: If there is a discrepancy between this guideline and a member's plan of benefits, the benefits plan will govern. In addition, coverage (and coverage

More information

MEDICAL POLICY No. 91615-R0 AUTISM SPECTRUM DISORDERS

MEDICAL POLICY No. 91615-R0 AUTISM SPECTRUM DISORDERS AUTISM SPECTRUM DISORDERS Effective Date: January 1, 2016 Review Dates: 11/15 Date Of Origin: November 11, 2015 Status: New Due to the Patient Protection and Affordable Care Act (PPACA), applied behavioral

More information

Potential Autism Spectrum Disorder Benefit

Potential Autism Spectrum Disorder Benefit Potential Autism Spectrum Disorder Board of Trustees March 27, 2014 Presentation Summary Recap of BOT interest Update on Autism Spectrum Disorder (ASD) Design Development Comparison of Proposed and HB

More information

The Division of Health Care Financing and Policy

The Division of Health Care Financing and Policy The Division of Health Care Financing and Policy Applied Behavior Analysis Presentation Shannon Sprout, SSPSIII Child and Adolescent Services Specialist Clinical Policy Unit, DHCFP 775-684-3732 shannon.sprout@dhcfp.nv.gov

More information

Applied Behavioral Analysis Treatment Report Initial Authorization Request

Applied Behavioral Analysis Treatment Report Initial Authorization Request New ABA CPT Codes Requested Start Date for this Authorization / / Initial Request Patient Name: Date of Birth: Age: M F Address (City/State only): Tel #: Patient s Insurance ID#: Patient's Employer/Benefit

More information

Autism Spectrum Disorder: ABA Services Delivery Model for Medicaid & PEBB Gail Kreiger, BSN Manager, Healthcare Benefits and Utilization Management

Autism Spectrum Disorder: ABA Services Delivery Model for Medicaid & PEBB Gail Kreiger, BSN Manager, Healthcare Benefits and Utilization Management Autism Spectrum Disorder: ABA Services Delivery Model for Medicaid & PEBB Gail Kreiger, BSN Manager, Healthcare Benefits and Utilization Management Health Care Services May 2, 2013 What: A benefit for

More information

How To Get A Health Care Benefit Plan In New Jersey

How To Get A Health Care Benefit Plan In New Jersey State of New Jersey DEPARTMENT OF BANKING AND INSURANCE PO BOX 325 TRENTON, NJ 08625-0325 JON S. CORZINE NEIL N. JASEY Governor TEL (609) 292-7272 Commissioner BULLETIN NO: 10-02 TO: ALL HOSPITAL, MEDICAL

More information

LOUISIANA: Frequently Asked Questions About the Autism Insurance Reform Law

LOUISIANA: Frequently Asked Questions About the Autism Insurance Reform Law LOUISIANA: Frequently Asked Questions About the Autism Insurance Reform Law What does the Autism Insurance Act (Act 648) do? Act 648 does several things: 1. Act 648 requires many health insurance plans

More information

Medicaid Coverage & Prior Authorization for Applied Behavior Analysis Services

Medicaid Coverage & Prior Authorization for Applied Behavior Analysis Services Medicaid Coverage & Prior Authorization for Applied Behavior Analysis Services Bureau of Medicaid Services October 2012 Developed by: Yolanda Sacipa 1 Learning Objectives Provide guidance about Florida

More information

Applied Behavioral Analysis Therapy (ABA)

Applied Behavioral Analysis Therapy (ABA) Applied Behavioral Analysis Therapy (ABA) For all Group Health plans with a benefit (except Microsoft) ABA requires preauthorization for initial and continued therapy. Specific coverage may be defined

More information

Aetna Autism Spectrum Disorders (ASD) Support Program

Aetna Autism Spectrum Disorders (ASD) Support Program Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Aetna Autism Spectrum Disorders (ASD) Support Program Aetna Resources For LivingSM 44.02.919.1-ADO (9/12) 2 Autism

More information

CONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES SPC 512.10. Applies to CLTS (SED, DD only)

CONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES SPC 512.10. Applies to CLTS (SED, DD only) CONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES DEFINITION SPC 512.10 Applies to CLTS (SED, DD only) Consultative Behavioral Intervention (CBI) Services use behavioral treatment methods to change socially

More information

Alabama Autism Task Force Preliminary Recommendations

Alabama Autism Task Force Preliminary Recommendations Alabama Autism Task Force Preliminary Recommendations Having reviewed the findings to date from the Alabama Autism Collaborative Group (AACG), The Alabama Autism Task Force proposes the following changes

More information

14. A comprehensive medical record is submitted by the ABA provider documenting the course of ABA treatment that includes all of the following

14. A comprehensive medical record is submitted by the ABA provider documenting the course of ABA treatment that includes all of the following Blue Cross Blue Shield of Michigan / New Directions Applied Behavior Analysis Medical Necessity Criteria for Autism Spectrum Disorder Effective 1/1/16 Admission/Severity of Need Criteria New Directions

More information

TITLE 40, SOCIAL SERVICES AND ASSISTANCE PART 2, DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES CHAPTER 105, AUTISM PROGRAM

TITLE 40, SOCIAL SERVICES AND ASSISTANCE PART 2, DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES CHAPTER 105, AUTISM PROGRAM TITLE 40, SOCIAL SERVICES AND ASSISTANCE PART 2, DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES CHAPTER 105, AUTISM PROGRAM SUBCHAPTER A. GENERAL RULES... 3 105.101 Purpose... 3 105.103 Legal Authority...

More information

ROLE OF SCHOOL PSYCHOLOGIST AS A RELATED SERVICE PROVIDER

ROLE OF SCHOOL PSYCHOLOGIST AS A RELATED SERVICE PROVIDER ROLE OF SCHOOL PSYCHOLOGIST AS A RELATED SERVICE PROVIDER I. Related Services Definition - IDEA According to the Individuals with Disabilities Education Act, psychological services include: Administering

More information

TENNCARE MEDICAL NECESSITY GUIDELINES Procedure: Applied Behavioral Analysis Page 2 of 5

TENNCARE MEDICAL NECESSITY GUIDELINES Procedure: Applied Behavioral Analysis Page 2 of 5 Procedure: Applied Behavioral Analysis Origin Date: 1/10/2006, Revised 01/27/ 2015 Approved by: Vaughn Frigon, M.D. Page 1 of 5 Applied Behavioral Analysis Medical Necessity Guidelines I. Description of

More information

Occupational Therapy

Occupational Therapy Occupational Therapy I. Policy University Health Alliance (UHA) will reimburse for occupational therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines

More information

ATAM Brief: Highlights and Text of the New Minnesota Autism Laws Passed by the Legislature in 2013

ATAM Brief: Highlights and Text of the New Minnesota Autism Laws Passed by the Legislature in 2013 ATAM Brief: Highlights and Text of the New Minnesota Autism Laws Passed by the Legislature in 2013 Reference: HF 1233 Health and Human Services Omnibus Bill Article 7, Sec. 14. [256B.0949] AUTISM EARLY

More information

Maximizing Coverage Under the New Jersey Autism & Other Developmental Disabilities Insurance Mandate: A Guide for Parents and Professionals

Maximizing Coverage Under the New Jersey Autism & Other Developmental Disabilities Insurance Mandate: A Guide for Parents and Professionals Maximizing Coverage Under the New Jersey Autism & Other Developmental Disabilities Insurance Mandate: A Guide for Parents and Professionals About Autism New Jersey Autism New Jersey is the state s leading

More information

What is Autism? Autism. Maryland Autism Technical Advisory Group. Autism is a medical condition, brought on through no fault of the family.

What is Autism? Autism. Maryland Autism Technical Advisory Group. Autism is a medical condition, brought on through no fault of the family. Maryland Autism Technical Advisory Group Judith Ursitti, CPA Director, State Government Affiars Autism Speaks What is Autism? Autism is a medical condition, brought on through no fault of the family. Autism

More information

Provider Guide to the Early Intervention Program

Provider Guide to the Early Intervention Program Provider Guide to the Early Intervention Program Including benefit coverage for applied behavior analysis (ABA), habilitative-rehabilitative and related services. members. This document and any supplemental

More information

Regarding Applied Behavior Analysis Services in the. Mental Health Designated Agencies

Regarding Applied Behavior Analysis Services in the. Mental Health Designated Agencies Fiscal Year 2015 Interim Guidance Regarding Applied Behavior Analysis Services in the Mental Health Designated Agencies Integrated Family Services 329 Hurricane Lane Williston, VT 05495 1 1. Additional

More information

Credentialing Practitioners of Behavior Analysis!

Credentialing Practitioners of Behavior Analysis! Credentialing Practitioners of Behavior Analysis James E. Carr, PhD, BCBA-D Chief Executive Officer Do not distribute without permission of the BACB CEO. BACB Background Nonprofit corporation Founded in

More information

Testimony in Support of S. 136 An Act Relating to Licensing and Regulating Applied Behavior Analysts and their Assistants

Testimony in Support of S. 136 An Act Relating to Licensing and Regulating Applied Behavior Analysts and their Assistants Testimony in Support of S. 136 An Act Relating to Licensing and Regulating Applied Behavior Analysts and their Assistants Judith Ursitti, CPA Director, State Government Affairs Autism Speaks Autism Spectrum

More information

Most Frequently Asked Questions about Applied Behavior Analysis Services for the Treatment of Children under 21 with Autism Spectrum Disorders

Most Frequently Asked Questions about Applied Behavior Analysis Services for the Treatment of Children under 21 with Autism Spectrum Disorders Most Frequently Asked Questions about Applied Behavior Analysis Services for the Treatment of Children under 21 with Autism Spectrum Disorders Common Abbreviations ABA Applied Behavior Analysis AHCA The

More information

Physical Therapy. Physical Therapy Payment Policy Policy number M.RTH.02.120301 effective 10/01/2015. Page 1

Physical Therapy. Physical Therapy Payment Policy Policy number M.RTH.02.120301 effective 10/01/2015. Page 1 Physical Therapy I. Policy University Health Alliance (UHA) will reimburse for physical therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines (subject

More information

House File 1 - Introduced

House File 1 - Introduced House File 1 - Introduced HOUSE FILE BY ZIRKELBACH Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act requiring certain group health insurance policies,

More information

NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES 11 NYCRR 440 (INSURANCE REGULATION 201)

NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES 11 NYCRR 440 (INSURANCE REGULATION 201) NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES 11 NYCRR 440 (INSURANCE REGULATION 201) PROVIDER REQUIREMENTS FOR INSURANCE REIMBURSEMENT OF APPLIED BEHAVIOR ANALYSIS I, Benjamin M. Lawsky, Superintendent

More information

Your Anthem Blue Cross HMO Plan Amendment

Your Anthem Blue Cross HMO Plan Amendment Your Anthem Blue Cross HMO Plan Amendment Anthem Blue Cross ( Anthem ) agrees to modify your Combined Evidence of Coverage and Disclosure (Evidence of Coverage) Form by this amendment. All other provisions

More information

MAD APPLIED BEHAVIOR ANALYSIS BILLING INSTRUCTIONS

MAD APPLIED BEHAVIOR ANALYSIS BILLING INSTRUCTIONS MAD APPLIED BEHAVIOR ANALYSIS BILLING INSTRUCTIONS APPLIED BEHAVIOR ANALYSIS (ABA) SERVICE OVERVIEW The Medical Assistance Division (MAD) pays for medically necessary, empirically supported, ABA services

More information

CALIFORNIA. 2. When does the law requiring insurance companies to cover services for children with autism spectrum disorder go into effect?

CALIFORNIA. 2. When does the law requiring insurance companies to cover services for children with autism spectrum disorder go into effect? CALIFORNIA FREQUENTLY ASKED QUESTIONS ABOUT THE AUTISM INSURANCE REFORM LAW 1. Generally speaking, what does the California law do? The law requires that every health care plan contract that provides hospital,

More information

Q & A: Connor's Law and Autism Insurance Reform

Q & A: Connor's Law and Autism Insurance Reform Q & A: Connor's Law and Autism Insurance Reform The following Q & A is intended to help parents navigate complicated insurance issues. It expands on information available in the NH Council on ASD s brochure,

More information

TESTING GUIDELINES PerformCare: HealthChoices. Guidelines for Psychological Testing

TESTING GUIDELINES PerformCare: HealthChoices. Guidelines for Psychological Testing TESTING GUIDELINES PerformCare: HealthChoices Guidelines for Psychological Testing Testing of personality characteristics, symptom levels, intellectual level or functional capacity is sometimes medically

More information

Professional Treatment Services in Facility-Based Crisis Program Children and Adolescents

Professional Treatment Services in Facility-Based Crisis Program Children and Adolescents Professional Treatment Services in Facility-Based Crisis Program Children and Adolescents Medicaid and North Carolina Health Choice (NCHC) Billable Service WORKING DRAFT Revision Date: September 11, 2014

More information

Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP)

Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP) Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP) 2014 Magellan Health Services Table of Contents SECTION 1: INTRODUCTION... 3 Welcome... 3 Covered

More information

INTENSIVE IN HOME SERVICES FOR THE INTELLECTUALLY AND/OR DEVELOPMENTALLY DISABLED (I/DD) YOUTH

INTENSIVE IN HOME SERVICES FOR THE INTELLECTUALLY AND/OR DEVELOPMENTALLY DISABLED (I/DD) YOUTH CSOC Service Guidelines Clinical Criteria INTENSIVE IN HOME SERVICES FOR THE INTELLECTUALLY AND/OR DEVELOPMENTALLY DISABLED (I/DD) YOUTH Definition Intensive In-Home Services means an array of rehabilitation

More information

Applied Behavior Analysts (ABA) Provider Orientation

Applied Behavior Analysts (ABA) Provider Orientation Applied Behavior Analysts (ABA) Provider Orientation Objectives Overview of Horizon Behavioral Health and ValueOptions Qualified ABA Services and Covered Treatment Providers Covered ABA Codes/AMA CPT Codes

More information

Autism Spectrum Disorder

Autism Spectrum Disorder Autism Spectrum Disorder Benefit information Premera Blue Cross (Premera) administers the Autism Spectrum Disorder (ASD) benefit for all eligible members. This unique benefit provides coverage for behavioral

More information

Applied Behavior Analysis February 2016

Applied Behavior Analysis February 2016 Brian Sandoval Governor Marta Jensen Acting Administrator Division of Health Care Financing and Policy Applied Behavior Analysis February 2016 Shannon Sprout Child and Adolescent Services Specialist Clinic

More information

Chapter 18 Section 15. Department Of Defense (DoD) Applied Behavior Analysis (ABA) Pilot For Non-Active Duty Family Members (NADFMs)

Chapter 18 Section 15. Department Of Defense (DoD) Applied Behavior Analysis (ABA) Pilot For Non-Active Duty Family Members (NADFMs) Demonstrations Chapter 18 Section 15 Department Of Defense (DoD) Applied Behavior Analysis (ABA) Pilot 1.0 PURPOSE Under authority of Section 705 of National Defense Authorization Act (NDAA) Fiscal Year

More information

PENNSYLVANIA'S AUTISM INSURANCE ACT: A FACT SHEET. Prepared by the Disability Rights Network of Pennsylvania

PENNSYLVANIA'S AUTISM INSURANCE ACT: A FACT SHEET. Prepared by the Disability Rights Network of Pennsylvania PENNSYLVANIA'S AUTISM INSURANCE ACT: A FACT SHEET Prepared by the Disability Rights Network of Pennsylvania Prior to the Pennsylvania Autism Insurance Act (sometimes called "Act 62"), 40 P.S. 764h, almost

More information

NOTE: Implementation of this policy is contingent upon State Plan and Waiver approval from the Centers for Medicare & Medicaid Services (CMS).

NOTE: Implementation of this policy is contingent upon State Plan and Waiver approval from the Centers for Medicare & Medicaid Services (CMS). Bulletin Michigan Department of Community Health Bulletin Number: MSA 13-09 Distribution: Practitioners, Local Health Departments, Federally Qualified Health Centers, Rural Health Clinics, Medicaid Health

More information

Behavioral Health and Developmental Disabilities Administration Waiver Conference 11/18/14

Behavioral Health and Developmental Disabilities Administration Waiver Conference 11/18/14 Behavioral Health and Developmental Disabilities Administration Waiver Conference 11/18/14 1 Introductions Lisa Grost, Autism Section Manager, MDCH Morgan VanDenBerg, Autism Behavioral Specialist, MDCH

More information

Issued and entered this 14 th day of October 2008 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND

Issued and entered this 14 th day of October 2008 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND STATE OF MICHIGAN DEPARTMENT OF LABOR & ECONOMIC GROWTH OFFICE OF FINANCIAL AND INSURANCE REGULATION Before the Commissioner of Financial and Insurance Regulation In the matter of XXXXX Petitioner File

More information

Detroit Wayne Mental Health Authority

Detroit Wayne Mental Health Authority Detroit Wayne Mental Health Authority 640 Temple, 8 th floor Detroit, MI 48201-2558 Phone: (313) 833-2500 www.dwmha.com FAX: (313) 833-2156 TDD: (800) 630-1044 RR/TDD: (888) 339-5588 Bulletin Number: 16-003

More information

Adaptive Behavior Assessments and Treatment Descriptors for July 1, 2014 Reporting

Adaptive Behavior Assessments and Treatment Descriptors for July 1, 2014 Reporting Adaptive Behavior Assessments and Treatment Descriptors for July 1, 2014 Reporting Current Procedural Terminology (CPT ) Category III Adaptive Behavior Assessment and Treatment codes and guidelines were

More information

KANSAS AUTISM INSURANCE UPDATE. What does the new autism insurance law mean for my family?

KANSAS AUTISM INSURANCE UPDATE. What does the new autism insurance law mean for my family? KANSAS AUTISM INSURANCE UPDATE What does the new autism insurance law mean for my family? September 19, 2014 Details of HB 2744 New coverage and its impact on existing coverage for state employees Mike

More information

Southeast Regional Autism Center. A Program of May Institute Affiliated with the National Autism Center

Southeast Regional Autism Center. A Program of May Institute Affiliated with the National Autism Center Southeast Regional Autism Center A Program of May Institute Affiliated with the National Autism Center Characterized by disorders in behavior, social interaction, and communication, autism can create enormous

More information

IAC 2/19/14 Human Services[441] Ch 22, p.1 CHAPTER 22 AUTISM SUPPORT PROGRAM

IAC 2/19/14 Human Services[441] Ch 22, p.1 CHAPTER 22 AUTISM SUPPORT PROGRAM IAC 2/19/14 Human Services[441] Ch 22, p.1 TITLE III MENTAL HEALTH CHAPTER 22 AUTISM SUPPORT PROGRAM PREAMBLE These rules provide for definitions of diagnostic and financial eligibility, provider qualifications,

More information

Funding Options for Services

Funding Options for Services PO Box 10806 Austin, TX 78766 www.spectrumsocial.net (512) 524-5482 Funding Options for Services This resource is provided to families as a guide for pursuing possible funding options and should not be

More information

Clarification of Medicaid Coverage of Services to Children with Autism

Clarification of Medicaid Coverage of Services to Children with Autism DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 CMCS Informational Bulletin DATE: July 7, 2014

More information

Detroit Wayne Mental Health Authority

Detroit Wayne Mental Health Authority Detroit Wayne Mental Health Authority 640 Temple, 8 th floor Detroit, MI 48201-2558 Phone: (313) 833-2500 www.dwmha.com FAX: (313) 833-2156 TDD: (800) 630-1044 RR/TDD: (888) 339-5588 Bulletin Number: 16-002

More information

Autism Awareness Training for Law Enforcement Officers

Autism Awareness Training for Law Enforcement Officers BILL: SB 1352 The Florida Senate BILL ANALYSIS AND FISCAL IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) Prepared By: The Professional

More information

Behavioral Consultants:

Behavioral Consultants: Behavioral Consultants: Who Are They and How Do I Find the Right One? What is a Behavioral Consultant and How is This Different From a Psychologist? These questions are often asked by people trying to

More information

Day Treatment Mental Health Adult

Day Treatment Mental Health Adult Day Treatment Mental Health Adult Definition Day Treatment provides a community based, coordinated set of individualized treatment services to individuals with psychiatric disorders who are not able to

More information